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JONATHAN BLEIER

Ownership rollup across 18 nursing homes in 4 states: Florida, New Jersey, New York, Pennsylvania. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 2.4 of 5 stars on the CMS overall rating — about 0.6 stars below the ~3.1 average of the 4 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 18 homes rated throughout, the average rose 0.44 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.

18
Homes in this chain
3,356
Certified beds186 per home on average
94%
Occupied3,050 residents a day across 3,236 beds · 17 of 18 homes
+0.44
Star changeacross the 18 homes rated throughout · 2025-02 to 2026-06
4
States covered
2.4
Average CMS rating~3.1 in its states · ~3.0 nationally

Where the rating comes from

The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.

ComponentChain averageBasis
Health inspection2.2 of 518 rated homesstate surveyors’ findings, ranked within each state
Staffing3.2 of 518 rated homesfrom payroll (PBJ) hours
Quality measures3.9 of 518 rated homeslargely self-reported clinical data

Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.

Portfolio red flags

How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.

8 with immediate-jeopardy citations1 Special-Focus candidates5 with an abuse flag9 with federal fines

Follow the money — chain finances

Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.

$18.5M
Related-party expensesummed across 10 homes · FY2023–2024 cost reports
9%
of operating expensegoes to related companies, across the 10 homes reporting both figures
+0.7%
Operating marginrevenue-weighted across 18 homes with a cost report
$365K
Total federal fines9 homes fined

Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.

Who pays — share of resident-days across this chain
Medicaid 74%Medicare 8%Other / private 18%

Weighted by each home’s average daily census, across the all 18 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.

Every home in this chain

Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.

HomeCMS ratingFlags
Chestnut Hill Lodge Health And Rehab CtrWyndmoor, PA 1 of 5Abuse flag $14,015 fined
Sunnyview Nursing And Rehabilitation CenterButler, PA 1 of 51 immediate-jeopardy SFF candidate Abuse flag $30,011 fined
Willow TerracePhiladelphia, PA 1 of 5Abuse flag $9,113 fined
Fort Myers Rehabilitation And Nursing CenterFort Myers, FL 2 of 51 immediate-jeopardy
Manatee Springs Rehabilitation And Nursing CenterBradenton, FL 2 of 53 immediate-jeopardy Abuse flag
Page Rehabilitation And Healthcare CenterFort Myers, FL 2 of 53 immediate-jeopardy $179,790 fined
Premier Cadbury Of Cherry HillCherry Hill, NJ 2 of 51 immediate-jeopardy $21,752 fined
Premier Genesee Center For Nrsg And RehabilitationBatavia, NY 2 of 51 immediate-jeopardy $14,385 fined
Westchester Center For Rehabilitation & NursingMount Vernon, NY 2 of 5
Deer Meadows Rehabilitation CenterPhiladelphia, PA 2 of 5
Meadowview Rehabilitation And Nursing CenterWhite Marsh, PA 2 of 51 immediate-jeopardy $79,414 fined
Pleasant Acres Rehabilitation And Nursing CenterYork, PA 2 of 51 immediate-jeopardy Abuse flag $11,180 fined
Premier Washington Rehabilitation And Nursing CtrWashington, PA 2 of 5
Greene Meadows Nursing And Rehabilitation CenterCatskill, NY 3 of 5
Highfield Gardens Care Center of Great NeckGreat Neck, NY 4 of 5$4,922 fined
Rosewood Rehabilitation and Nursing CenterSchuylkill Haven, PA 4 of 5
Leroy Village Green Residential Health C F, INCLeroy, NY 5 of 5
Pine Haven HomePhilmont, NY 5 of 5
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.